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1134156011
BRANDON TERRELL AIKEN
AIKEN, SC
NPI
1134156011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC 374)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
MR. BRANDON TERRELL AIKEN ATC
471 UNIVERSITY PKWY
AIKEN, SC 29801-6389
Phone number: 803-641-3367
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Mailing Address
MR. BRANDON TERRELL AIKEN ATC
471 UNIVERSITY PKWY
AIKEN, SC 29801-6389
Phone number: 803-270-4540
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